Transcatheter closure of fontan fenestrations using the Amplatzer septal occluder: initial experience and follow-up.

نویسندگان

  • C G Cowley
  • S Badran
  • D Gaffney
  • A P Rocchini
  • T R Lloyd
چکیده

We have recently used the Amplatzer septal occluder to close Fontan fenestrations. Between June 1998 and December 1999, 13 patients underwent transcatheter occlusion of their Fontan fenestrations. Systemic blood flow decreased significantly without a concomitant decrease in pulmonary blood flow. All residual shunts detectable by oximetry were at sites separate from those into which occlusion devices were implanted. One patient developed severe tricuspid regurgitation following the procedure requiring surgical removal of the device. At the last follow-up, all patients were doing well clinically. There were no shunts detectable through or around the devices by echocardiography. Our experience indicates that the location of the fenestration within the Fontan baffle is critical to avoiding device interference with other intracardiac structures. The Amplatzer septal occluder offers an effective means of transcatheter closure of Fontan baffle fenestrations. Although more experience is needed, our current follow-up data suggest that long-term outcomes will be favorable. Cathet. Cardiovasc. Intervent. 51:301-304, 2000.

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Letters to the Editor Catheter-Based Device Closure of Fontan Fenestrations

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عنوان ژورنال:
  • Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions

دوره 51 3  شماره 

صفحات  -

تاریخ انتشار 2000